{"id":2337,"title":"CLAIM FORM SARAL SURAKSHA BIMA, SBI GENERAL INSURANCE COMPANY LIMITED","purpose":"claim","insurer":{"slug":"sbi-general-insurance","name":"SBI General Insurance Company Limited"},"source_pdf":"https://content.sbigeneral.in/uploads/5bc0d808a6794036a4c72ed405bfa6d7.pdf","sha256":"6bf64027679ebe76f4defda25772fb9a27b024b3bdd3026f02bb15fd36640642","pages":6,"collected":"2026-10-17","instructions":{"about":"This form is used by the claimant or insured person to file a claim under the Saral Suraksha Bima insurance policy with SBI General Insurance Company Limited.","notes":["Issuance of this form does not admit liability or waive policy terms and conditions.","Fraudulent claims will void the policy and forfeit benefits.","Use original documents and certified copies as required.","Vernacular declaration requires a witness other than company employee or advisor.","Include all relevant documents as per the Enclosures Checklist.","Fill all dates in DD/MM/YYYY format where applicable."],"title":"CLAIM FORM SARAL SURAKSHA BIMA, SBI GENERAL INSURANCE COMPANY LIMITED","submit":{"to":"","how":"","address":""},"purpose":"claim","sections":[{"title":"A. 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Details Of Other Insurance/Interest","fields":[{"help":"Indicate if other insurance covers accident","type":"yes-no","label":"Is the Accident/ Incidence covered under any other Insurance (Yes) (No), If ‘Yes’, specify details and attach a copy of the policy","options":["Yes","No"],"required":true,"pdf_field":""},{"help":"Name of other insurer","type":"text","label":"Name of Insurer:","options":[],"required":false,"pdf_field":""},{"help":"Location of other insurer's office","type":"text","label":"Policy Issuance office Location:","options":[],"required":false,"pdf_field":""},{"help":"Other policy number","type":"text","label":"Policy No.:","options":[],"required":false,"pdf_field":""},{"help":"Start date of other policy","type":"date","label":"Period of Insurance: From:","options":[],"required":false,"pdf_field":""},{"help":"End date of other policy","type":"date","label":"to","options":[],"required":false,"pdf_field":""},{"help":"Sum insured under other policy","type":"amount","label":"Sum Insured Rs.:","options":[],"required":false,"pdf_field":""},{"help":"Additional details if any","type":"text","label":"If yes please specify :","options":[],"required":false,"pdf_field":""}],"filled_by":"claimant"},{"title":"E. 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policy","attachments":["Claim form duly signed","Policy copy","Certified copies of FIR / MLC Copy /Spot Panchnama / Inquest Panchnama","Certified copies of Death Certificate","Certified copies of Post Mortem Report (If conducted)","Affidavit from the legal heirs of the deceased (in case nomination has not been filed by deceased)","Certified copies FIR / MLC Copy /Spot Panchnama","Certified copies of diagnostic /Investigation reports confirming claimed disability","Medical certificate from treating doctor confirming details of disability","Certified copy Disability Certificate issued by competent medical practitioner","Photograph of the injured with reflecting disablement","Child/Spouse education ID card","Original Discharge Summary from The Hospital","Original Medical & Investigation reports","Original Prescriptions, payment receipt and consultation papers of the treatment","Any other medical, investigation reports, as applicable"],"declarations":["Information furnished in this claim form is true and correct to the best of my knowledge and belief.","False or untrue statements or concealment of material facts will forfeit the right to claim reimbursement.","Consent and authorize TPA/insurance company to seek necessary medical information/documents from hospitals or doctors.","I have included all bills/receipts for this claim and will not make supplementary claims except pre/post-hospitalization claims if applicable.","I accept the amount paid as full discharge of the insurer's obligations under the policy.","I authorize hospitals, doctors, employers, and government organizations to provide information needed to process the claim.","I agree that if any information is false or fabricated, the company may repudiate the claim and take necessary action.","If claimant signs in vernacular or thumb impression, a witness must certify that the form contents were explained and understood.","I/We declare and warrant the truth of the particulars and accept the amount as full discharge of obligations under the policy."],"dropped_labels":4},"pdf_fields":null,"fillable_pdf":false,"send_to":[{"purpose":"claim","channel":"email","value":"customer.care@sbigeneral.in","label":"Motor Claims Email","level":null,"hours":null,"applies_to":"motor","source_url":"https://www.sbigeneral.in/claim/motor","quote":"m\nRegister or Track Claim Status with one simple click\nIntimate Claim\nCheck Claim Status\n1800 102 1111\n(Available 24/7)\ncustomer.care@sbigeneral.in\nMail ID\nSmooth rides, smoother claims\nBecause you deserve worry-free journeys, always\nDownload SBIG App\nRegister or Tra","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"email","value":"sbig.health@sbigeneral.in","label":"Health Claims Email","level":null,"hours":null,"applies_to":"health","source_url":"https://www.sbigeneral.in/claim/health","quote":"ailable 24/7\n1800 210 3366\n/\n1800 210 6366\nSMS Us:\n“HEALTHCLAIM”\nto\n561612\nEmail 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Claim\nFAQs\nDownload Claim Form\nRegister or Track Claim Status with one simple click\nIntimate Claim\nCheck Claim Status\n1800 102 1111\n(Available 24/7)\ncustomer.care@sbigeneral.in\nMail ID\nSmooth rides, smoother claims\nBecause you deserve worry-free journ","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800 210 3366","label":"Health Claims Toll-free Number","level":null,"hours":"Available 24/7","applies_to":"health","source_url":"https://www.sbigeneral.in/claim/health","quote":"e simple click\nCheck Claim Status\nIntimate Claim\nFor any Queries, Please Feel Free to Reach Out\nCall Us:\nAvailable 24/7\n1800 210 3366\n/\n1800 210 6366\nSMS Us:\n“HEALTHCLAIM”\nto\n561612\nEmail Us:\nseniorcitizen.health@sbigeneral.in\nsbig.health@sbigeneral.in","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"phone","value":"1800 210 6366","label":"Health Claims Toll-free Number","level":null,"hours":"Available 24/7","applies_to":"health","source_url":"https://www.sbigeneral.in/claim/health","quote":"heck Claim Status\nIntimate Claim\nFor any Queries, Please Feel Free to Reach Out\nCall Us:\nAvailable 24/7\n1800 210 3366\n/\n1800 210 6366\nSMS Us:\n“HEALTHCLAIM”\nto\n561612\nEmail Us:\nseniorcitizen.health@sbigeneral.in\nsbig.health@sbigeneral.in\n18,000+\nNetwork","fetched_at":"2026-10-20"},{"purpose":"claim","channel":"sms","value":"561612","label":"Health Claims SMS 'HEALTHCLAIM'","level":null,"hours":null,"applies_to":"health","source_url":"https://www.sbigeneral.in/claim/health","quote":"y Queries, Please Feel Free to Reach Out\nCall Us:\nAvailable 24/7\n1800 210 3366\n/\n1800 210 6366\nSMS Us:\n“HEALTHCLAIM”\nto\n561612\nEmail Us:\nseniorcitizen.health@sbigeneral.in\nsbig.health@sbigeneral.in\n18,000+\nNetwork Hospitals\nHealth Vertical Office","fetched_at":"2026-10-20"}],"how_to_use":"Ask the user for each field in order, in plain words; never invent an answer. Labels are as printed. If fillable_pdf is true, pdf_fields gives the PDF's own field names so the file can be filled directly. The printed form decides if anything differs.","url":"https://indiainsurances.com/forms/sbi-general-insurance/2337-claim-form-saral-suraksha-bima-sbi-general-insurance-company-limited"}